| NPI | 1184591547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON CHUBB PELTO Therapist 919-302-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |